Organization
CONSOLIDATED PATHOLOGY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RICHARD K. JACQUES (PRESIDENT)
(615) 345-6900
Entity
Organization
Contact information
Practice address
1802 HAYES ST, NASHVILLE, TN 37203-2504
(615) 345-6900
Mailing address
401 COMMERCE ST, STE. 600, NASHVILLE, TN 37219-2446
(615) 345-6900
(615) 691-7214
Taxonomy
Speciality
Code
Description
License number
State
207ZP0101X
Anatomic Pathology Physician
—
—
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1531650
—
TN
Enumeration date
08/28/2012
Last updated
04/05/2016
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